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PC 2 Amendment <br /> Amendments-Cash Contributions, Loans Received and In-Kind <br />Candidate or Political Committee Name: Corrgnittee ID Number: <br />Tom $1ocum for City Council Page 5 orS_ <br /> <br />Election: [] Pdmaw 200_~4 [] General 20__ [~ Off,er __ <br />Report: [-1 1st Pre-election [] 2nd Pre-election [~] Post-election [~3 20__ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br />B Business Entity CA Cash <br />C Polincal Committee 0ncludes business and union PACs) CO Cosigner Obligation <br />F Candidate's Immediate Family/includes candidate) IK In-Kind <br />i Individual LR Loan Received <br />L Labor Organization <br />O Other <br />P Political Party Commatee <br />Amending Page # Name and Address of Contnbutor Amount of In-Kind Purpose <br />and Line # Contnbut¢on (see manual for suggested purpose codes) <br /> Occupational Information or Contributor Code l I Code 2 <br /> Date Recewed Contributing Commtttee's ID# Aggregate <br /> <br />Pagff %* Line ~ Sang Joe Knudtson <br />[] New Entry 1689 Willamette Street $ 100,00 <br />J~ Correcting <br />E] Deleting Eugene, OR 97401 <br /> <br /> 04~23~04 Restaurant Owner $ 100.00 B CA <br /> <br />Page~Lme-3- miscellaneous cash contributions $50 and <br />El New Entry under $ 420.00 <br />[] Correcting <br />[] Deleting <br /> <br /> 04/0Z/04- <br /> $ 420.00 <br /> CA <br /> O5/O2/O4 <br /> <br /> Page~ L~ne <br /> El New Entry $ <br /> E] Correcting <br /> E] Deleting <br /> <br /> $ <br /> <br /> Page Dne <br />E1 New Entry <br />[] Correcting <br />E} Deleting <br /> <br /> $ <br /> <br /> Page.~ Line <br /> <br />[] New Entry <br />[] Correcting <br />[] Deleting <br /> <br /> on Back and .~ ¢2 ~ ~ ~_~,, -,~ <br /> Finance Signature of candidate or treasurer <br /> Manual ~,~ ~ .~ ~d ,~, t~ ~% ,~ <br /> <br /> Amendment Date signed <br /> <br /> <br />